| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,504 |
9,145 |
$389K |
| 71046 |
Radiologic examination, chest; 2 views |
32,606 |
31,674 |
$165K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,443 |
8,978 |
$161K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,624 |
3,584 |
$84K |
| 71045 |
Radiologic examination, chest; single view |
22,017 |
17,410 |
$73K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,407 |
1,359 |
$53K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
882 |
844 |
$32K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,103 |
2,010 |
$29K |
| 76642 |
|
1,538 |
1,220 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
688 |
671 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,089 |
1,074 |
$9K |
| 93976 |
|
453 |
429 |
$8K |
| 73630 |
|
1,997 |
1,841 |
$8K |
| 76830 |
Ultrasound, transvaginal |
441 |
431 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
420 |
393 |
$7K |
| 73130 |
|
1,380 |
1,228 |
$6K |
| 73610 |
|
1,146 |
1,093 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
86 |
80 |
$4K |
| 76801 |
|
130 |
127 |
$4K |
| 77066 |
Tomosynthesis, mammo |
150 |
144 |
$3K |
| 73110 |
|
774 |
706 |
$3K |
| 73030 |
|
673 |
624 |
$3K |
| 74018 |
|
705 |
642 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
132 |
121 |
$3K |
| 72100 |
|
455 |
446 |
$2K |
| 73564 |
|
325 |
307 |
$2K |
| 99152 |
|
284 |
256 |
$1K |
| 77065 |
Tomosynthesis, mammo |
43 |
41 |
$874.54 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
25 |
25 |
$723.61 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
38 |
38 |
$698.78 |
| 77062 |
|
51 |
49 |
$688.80 |
| 70496 |
|
13 |
13 |
$520.08 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
24 |
$508.05 |
| 70498 |
|
12 |
12 |
$471.53 |
| 93975 |
|
14 |
14 |
$439.33 |
| 73562 |
|
97 |
76 |
$428.01 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$220.50 |
| 93971 |
|
14 |
14 |
$139.65 |
| 73502 |
|
28 |
25 |
$139.58 |
| 73140 |
|
26 |
26 |
$101.58 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,520 |
1,948 |
$0.00 |
| 99447 |
|
18 |
17 |
$0.00 |